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Maori Health needs

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https://www.readbyqxmd.com/read/29735391/cardiovascular-disease-risk-prediction-equations-in-400-000-primary-care-patients-in-new-zealand-a-derivation-and-validation-study
#1
Romana Pylypchuk, Sue Wells, Andrew Kerr, Katrina Poppe, Tania Riddell, Matire Harwood, Dan Exeter, Suneela Mehta, Corina Grey, Billy P Wu, Patricia Metcalf, Jim Warren, Jeff Harrison, Roger Marshall, Rod Jackson
BACKGROUND: Most cardiovascular disease risk prediction equations in use today were derived from cohorts established last century and with participants at higher risk but less socioeconomically and ethnically diverse than patients they are now applied to. We recruited a nationally representative cohort in New Zealand to develop equations relevant to patients in contemporary primary care and compared the performance of these new equations to equations that are recommended in the USA. METHODS: The PREDICT study automatically recruits participants in routine primary care when general practitioners in New Zealand use PREDICT software to assess their patients' risk profiles for cardiovascular disease, which are prospectively linked to national ICD-coded hospitalisation and mortality databases...
May 4, 2018: Lancet
https://www.readbyqxmd.com/read/29723174/-it-s-hard-to-ask-examining-the-factors-influencing-decision-making-among-end-stage-renal-disease-patients-considering-approaching-family-and-friends-for-a-kidney
#2
Merryn A Jones, Jon Cornwall
AIM: People needing kidney transplants in New Zealand can receive organs from deceased donors or from a living kidney donor. This project explored issues surrounding donor recruitment, examining the lived experience of end-stage renal disease (ESRD) patients in order to facilitate improved donor recruitment for ESRD patients. METHOD: A qualitative study comprising interviews of ESRD patients in Hawke's Bay, focusing on the factors surrounding approaching family and friends for a kidney...
May 4, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29572220/caregiver-experiences-of-racism-and-child-healthcare-utilisation-cross-sectional-analysis-from-new-zealand
#3
Sarah-Jane Paine, Ricci Harris, James Stanley, Donna Cormack
OBJECTIVES: Children's exposure to racism via caregiver experience (vicarious racism) is associated with poorer health and development. However, the relationship with child healthcare utilisation is unknown. We aimed to investigate (1) the prevalence of vicarious racism by child ethnicity; (2) the association between caregiver experiences of racism and child healthcare utilisation; and (3) the contribution of caregiver socioeconomic position and psychological distress to this association...
March 23, 2018: Archives of Disease in Childhood
https://www.readbyqxmd.com/read/29565933/ethnic-disparities-in-attendance-at-new-zealand-s-chronic-pain-services
#4
Gwyn N Lewis, Angela Upsdell
AIMS: It is unknown how well New Zealand's chronic pain services serve the country's diverse ethnic population. The goal of the study was to determine the attendance rates and clinical presentation of patients presenting at district health board (DHB) chronic pain services across the main ethnicities. METHODS: Demographic data of patients attending for an initial assessment in 2015 were requested from all DHBs that offered a multidisciplinary chronic pain service...
March 23, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29530138/unmet-need-for-referred-services-as-measured-by-general-practice
#5
Graham McGeoch, Kieran Holland, Melissa Kerdemelidis, Nikki Elliot, Brett Shand, Catherine Fink, Anne Dixon, Carolyn Gullery
INTRODUCTION Unmet needs are a key indicator of the success of a health system. Clinicians and funders in Christchurch, Canterbury, New Zealand were concerned that unmet health need was hidden. AIM The aim of this survey was to estimate the proportion of patients attending general practice who were unable to access clinically indicated referred services. METHODS The survey used a novel method to estimate unserviced health needs. General practitioners (GPs, n = 54) asked their patients (n = 2135) during a consultation about any health needs requiring a referred service...
December 2017: Journal of Primary Health Care
https://www.readbyqxmd.com/read/29526350/racial-disparity-in-an-outreach-pediatric-surgical-service
#6
Canaan Aumua, Sanjeev Krishna, Udaya Samarakkody, Danny de Lore
AIM: The aim of this study was to investigate whether racial disparities in healthcare exist within a New Zealand pediatric surgical outreach service in a high indigenous Māori population. METHODOLOGY: This retrospective study assessed all pediatric surgical procedures performed within a secondary center in New Zealand between May 2014 and May 2016. The days between the date of surgery booking on the waiting list and actual date of surgery were calculated and compared to their corresponding elective surgery waiting target times set by the New Zealand Ministry of Health (MoH)...
May 2018: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/29525936/attrition-after-acceptance-onto-a-publicly-funded-bariatric-surgery-program
#7
Tamasin Taylor, Yijiao Wang, William Rogerson, Lynda Bavin, Cindy Sharon, Grant Beban, Nicholas Evennett, Greg Gamble, Timothy Cundy
BACKGROUND: Factors such as ethnicity, gender, and socioeconomic status may play a role in both access to and attrition from bariatric programs before surgery is undertaken. New Zealand (NZ) has high rates of obesity in its Pacific population and the indigenous Māori. These groups also experience poorer health outcomes and therefore have the greatest need for surgery. METHODOLOGY: A retrospective cross-sectional study of 704 people referred for and accepted onto a publicly funded bariatric surgery from 2007 to 2016...
March 10, 2018: Obesity Surgery
https://www.readbyqxmd.com/read/29518802/mahi-a-atua-a-pathway-forward-for-m%C3%A4-ori-mental-health
#8
Diana Rangihuna, Mark Kopua, David Tipene-Leach
Māori demand on New Zealand mental health services is out of proportion to the size of the Māori population, and the psychiatric service response is limited by lack of capacity. But there is also an inherent lack of capability, that is, the ability of a Western paradigm psychiatric service to meet the needs of an indigenous community. The Mahi a Atua narratives-based programme established in the primary mental healthcare services of the Tairāwhiti/Gisborne area has created a new approach to psychiatric assessment, diagnosis and therapy that is appropriate, but not confined, to the Māori community...
March 9, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29469669/-i-want-to-walk-with-my-moko-the-application-of-social-cognitive-theory-in-the-creation-of-a-diabetes-prevention-documentary-with-new-zealand-m%C3%A4-ori
#9
Alison Farmer, Timothy Edgar, Jeffrey Gage, Ray Kirk
Type 2 diabetes is almost three times more prevalent in the indigenous people of New Zealand (Māori) than non-Māori. Despite the high rate of diabetes there is a low level of diabetes knowledge and awareness in the Māori community. Several studies of Māori health identify a need for new health communication approaches to diabetes prevention in order to reduce the gap between Māori and non-Māori disease rates. We applied a Community-Based Participatory Research (CBPR) framework and behavioral theory to create a culturally appropriate documentary for Māori at risk for type 2 diabetes...
2018: Journal of Health Communication
https://www.readbyqxmd.com/read/29455628/ng%C3%A4-whak%C3%A4-whitinga-standing-at-the-crossroads-how-m%C3%A4-ori-understand-what-western-psychiatry-calls-schizophrenia
#10
Melissa Taitimu, John Read, Tracey McIntosh
This project explored how Māori understand experiences commonly labelled "schizophrenic" or "psychotic". Semi-structured interviews were conducted with 57 Māori participants who had either personal experiences labelled as "psychosis" or "schizophrenia", or who work with people with such experiences; including tangata whaiora (users of mental health services), tohunga (traditional healers), kaumatua/kuia (elders), Māori clinicians, cultural support workers and students...
April 2018: Transcultural Psychiatry
https://www.readbyqxmd.com/read/29454356/multiple-forms-of-discrimination-and-relationships-with-health-and-wellbeing-findings-from-national-cross-sectional-surveys-in-aotearoa-new-zealand
#11
Donna Cormack, James Stanley, Ricci Harris
BACKGROUND: The complex ways in which experiences of discrimination are patterned in society, including the exposure of communities to multiple overlapping forms of discrimination within social systems of oppression, is increasingly recognised in the health sciences. However, research examining the impacts on health and contribution to racial/ethnic health inequities remains limited. This study aims to contribute to the field by exploring the prevalence and patterning of experience of multiple forms of discrimination in Aotearoa/New Zealand, and associations with health and wellbeing...
February 17, 2018: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29427304/police-and-mental-health-responses-to-mental-health-crisis-in-the-waikato-region-of-new-zealand
#12
Graham Holman, Anthony John O'Brien, Katey Thom
New Zealand police report a high level of involvement with people in mental health crisis, something that has been reported in the international literature in recent decades. Involvement of police represents a coercive pathway to care and is likely to be associated with use of force. The aim of this study was to investigate the clinical, legal, and social characteristics of individuals subject to police response in the Waikato region of New Zealand. Data were also collected on characteristics of police response, including use of force, time of day, and disposition...
February 10, 2018: International Journal of Mental Health Nursing
https://www.readbyqxmd.com/read/29389928/review-of-acute-symptomatic-urolithiasis-in-auckland
#13
Stephanie Loeff, Manmeet Saluja, Michael Rice
AIM: To evaluate the incidence of acute symptomatic urolithiasis in the Auckland region. Associated epidemiological factors and stone characteristics were also studied and compared to previous research conducted in order to analyse trends. METHOD: All patients that presented acutely with symptomatic urolithiasis to the Auckland District Health Board (AHDB) between July 2014 and June 2015 were studied. Clinical data was obtained from medical records and population data was based on estimates provided by the Ministry of Health...
February 2, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29389926/treaty-of-waitangi-in-new-zealand-public-health-strategies-and-plans-2006-2016
#14
Heather Came, Rhonda Cornes, Tim McCreanor
AIM: This study examines how public health policy in New Zealand has represented the Treaty of Waitangi (the English version) and te Tiriti o Waitangi (the Māori text) between 2006 to 2016. METHOD: A dataset of 49 public health strategies and plans, published between 2006 and 2016, were secured from the New Zealand Ministry of Health database. A thematic analysis using Braun and Clarke's process was undertaken and then the findings were reviewed against the Māori text of te Tiriti...
February 2, 2018: New Zealand Medical Journal
https://www.readbyqxmd.com/read/29310606/ethnic-disparities-in-breast-cancer-survival-in-new-zealand-which-factors-contribute
#15
Sandar Tin Tin, J Mark Elwood, Charis Brown, Diana Sarfati, Ian Campbell, Nina Scott, Reena Ramsaroop, Sanjeewa Seneviratne, Vernon Harvey, Ross Lawrenson
BACKGROUND: New Zealand has major ethnic disparities in breast cancer survival with Māori (indigenous people) and Pacific women (immigrants or descended from immigrants from Pacific Islands) faring much worse than other ethnic groups. This paper identified underlying factors and assessed their relative contribution to this risk differential. METHODS: This study involved all women who were diagnosed with primary invasive breast cancer in two health regions, covering about 40% of the national population, between January 2000 and June 2014...
January 8, 2018: BMC Cancer
https://www.readbyqxmd.com/read/29280509/screening-for-mental-health-needs-of-new-zealand-youth-in-secure-care-facilities-using-the-maysi-2
#16
Sean McArdle, Ian Lambie
BACKGROUND: Young people admitted to secure facilities generally have particularly high rates of mental, emotional and behavioural problems, but little is known about the mental health needs of this group in New Zealand. AIMS: To describe prevalence of probable mental health disorder and related needs among young people in secure facilities in New Zealand. METHODS: Massachusetts youth screening instrument - second version (MAYSI-2) data were obtained from the records of young people admitted to one secure care facility (n = 204) within a 12 month period...
December 27, 2017: Criminal Behaviour and Mental Health: CBMH
https://www.readbyqxmd.com/read/29217723/-at-risk-individuals-responses-to-direct-to-consumer-advertising-of-prescription-drugs-a-nationally-representative-cross-sectional-study
#17
Neda Khalil Zadeh, Kirsten Robertson, James A Green
OBJECTIVES: The factors determining individuals' self-reported behavioural responses to direct to consumer advertising of prescription drugs were explored with an emphasis on 'at-risk' individuals' responses. DESIGN: Nationally representative cross-sectional survey. SETTING: Community living adults in New Zealand. PARTICIPANTS: 2057 adults (51% women). PRIMARY OUTCOME MEASURES: Self-reported behavioural responses to drug advertising (asking a physician for a prescription, asking a physician for more information about an illness, searching the internet for more information regarding an illness and asking a pharmacist for more information about a drug)...
December 6, 2017: BMJ Open
https://www.readbyqxmd.com/read/29168244/using-preceding-hospital-admissions-to-identify-children-at-risk-of-developing-acute-rheumatic-fever
#18
Jane Oliver, Tim Foster, Deborah A Williamson, Nevil Pierse, Michael G Baker
AIMS: New Zealand (NZ) Māori and Pacific children have high rates of acute rheumatic fever (ARF). Around 150 new cases arise each year. As part of the national ARF prevention programme, funding is available to improve housing. To obtain maximum benefit from interventions, an effective tool is needed for targeting high-risk children. This study aimed to assess the effectiveness of using hospitalisations for identifying children at risk of subsequent ARF. METHODS: Three potentially avoidable hospitalisation (PAH) groups were investigated, including diseases thought to be influenced by housing...
November 23, 2017: Journal of Paediatrics and Child Health
https://www.readbyqxmd.com/read/29150888/systematic-review-of-disparities-in-surgical-care-for-m%C3%A4-ori-in-new-zealand
#19
REVIEW
Jamie-Lee Rahiri, Zanazir Alexander, Matire Harwood, Jonathan Koea, Andrew G Hill
BACKGROUND: Health equity for Indigenous peoples in the context of surgery has recently become topical amongst surgeons in Australasia. Health inequities are amongst the most consistent and compelling disparities between Māori and New Zealand Europeans (NZE) in New Zealand (NZ). We aimed to investigate where ethnic disparities in surgical care may occur and highlight some of the potential contributing factors, over all surgical specialties, between Māori and NZE adults in NZ. METHODS: A systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement...
November 18, 2017: ANZ Journal of Surgery
https://www.readbyqxmd.com/read/29121628/achieving-health-equity-in-aotearoa-strengthening-responsiveness-to-m%C3%A4-ori-in-health-research
#20
Papaarangi Reid, Sarah-Jane Paine, Elana Curtis, Rhys Jones, Anneka Anderson, Esther Willing, Matire Harwood
Excellent health research is essential for good health outcomes, services and systems. Health research should also build towards equity and in doing so ensure that no one is left behind. As recipients of government funding, researchers are increasingly required to demonstrate an understanding of their delegated responsibilities to undertake research that has the potential to address Māori health needs and priorities. These requirements form the basis of responsiveness to Māori in health research, and several research institutions have implemented systems to support their organisational approach to this endeavour...
November 10, 2017: New Zealand Medical Journal
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